Surgical treatment using the keystone technique for functional and aesthetic recovery of the hallux after chemical burn - case report

This article describe a case study of a patient who suffered a chemical burn on the left hallux. The patient, who had onychocryptosis, was treated with phenol acid, which led to necrosis, foul odor, and purulent secretion. Upon medical evaluation, a third-degree infected burn was diagnosed, and init...

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Detalles Bibliográficos
Autores: Alves Rodrigues, Myllena, Barbosa de Almeida Medeiros, Cláudia, Vieira e Silva de Albuquerque, João Paulo, de Barros Araújo, André, Guimarães Torres, Maria Beatriz, Fonseca Esteves, Maria Eduarda, Borges de Miranda, Marcelo José
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Faculdade de Medicina de Olinda (FMO)
Repositorio:Anais da Faculdade de Medicina de Olinda (Online)
Idioma:portugués
inglés
OAI Identifier:oai:ojs.afmo.emnuvens.com.br:article/282
Acceso en línea:https://afmo.emnuvens.com.br/afmo/article/view/282
Access Level:acceso abierto
Palabra clave:Queimaduras
Hallux
Onicocriptose
Ferida cirúrgica
Burns
Onychocryptosis
Surgical wound
Descripción
Sumario:This article describe a case study of a patient who suffered a chemical burn on the left hallux. The patient, who had onychocryptosis, was treated with phenol acid, which led to necrosis, foul odor, and purulent secretion. Upon medical evaluation, a third-degree infected burn was diagnosed, and initially, the patient underwent non-surgical treatment. Eventually, a Keystone skin flap was performed to close the lesion, and the patient fully recovered after two months. The study concludes that using acids can result in severe chemical burns, compromising the function and viabilityof the affected digit. Furthermore, in deep wounds, Keystone flap represents a good local alternative with a rapid recovery rate.